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Self-assembling Peptide With Sodium Fluoride in Treating White Spot Lesionss in Primary Teeth

Not Applicable
Completed
Conditions
White Spot Lesion
Registration Number
NCT05721586
Lead Sponsor
Hams Hamed Abdelrahman
Brief Summary

Regenerative medicine-based approaches for caries treatment focus on biomimetic remineralization of initial carious lesions as a minimally invasive therapy using Self-Assembling Peptide P11-4 (CURODONTTM REPAIR) which enhances remineralization of white spot lesions (WSLs). The study aimed to assess clinically the effect of Self Assembling Peptide P11-4 (CURODONTTM REPAIR) + Fluoride varnish (DURAFLOR) versus a 5% fluoride varnish (DURAFLOR) on remineralization of enamel White Spot Lesions in primary teeth.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
24
Inclusion Criteria
  • children with high caries risk with the presence of at least one visible active WSL in primary teeth with ICDAS II score of 1, 2 or 3
Exclusion Criteria
  • Children with systemic diseases
  • Teeth with cavitated lesion involving dentin and enamel defects

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Primary Outcome Measures
NameTimeMethod
Change in DIAGNOdent readingsBaseline, 3 months, and 6 months

The measurements with the DIAGNOdent device that provides numerical values from 0 to 99

Secondary Outcome Measures
NameTimeMethod
Change in ICDAS II scoresBaseline, 3 months, and 6 months

Code 0 Sound tooth surface:

Code 1: First visual change in enamel. Code 2: Distinct visual change in enamel visible when wet, lesion must be visible when dry.

Code 3: Localized enamel breakdown because of caries with no visible dentin or underlying shadow.

Code 4: Underlying dark shadow from dentin with or without localized enamel breakdown.

Code 5: Distinct cavity with visible dentin. Code 6: Extensive distinct cavity with visible dentin. After treatment, the evaluation will be performed as follows.

Change in Nyvad scoresBaseline, 3 months, and 6 months

Code 0: Sound - Normal enamel

Code 1: Active caries (intact surface) - Surface of enamel is whitish/yellowish opaque

Code 2: Active caries (surface discontinuity)

Code 3: Active caries (cavity) - Enamel/dentin cavity easily visible with the naked eye.

Code 4: Inactive caries (intact surface) - Surface of enamel is whitish, brownish or black.

Code 5: Inactive caries (surface discontinuity) - Same criteria as score 4. Localized surface defect (microcavity) in enamel only Code 6: Inactive caries (cavity) - Enamel/dentin cavity easily visible with the naked eye; surface of cavity may be shiny and feels hard on probing with gentle pressure.

Trial Locations

Locations (1)

Alexandria Faculty of Dentistry

🇪🇬

Alexandria, Egypt

Alexandria Faculty of Dentistry
🇪🇬Alexandria, Egypt

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